| NPI | 1518324532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 11076) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68162) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2024-04-01 |